Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 156FX1800X | Optician | C006857 | NY |
NPI | 1215426804 |
---|---|
Provider Name | William Stanley May |
First Address | Irving, NY 14081-9707 |
Second Address | Irving, NY 14081-9707 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/05/2018 |
Last Update Date | 09/05/2018 |